NHS Kent & Medway
Senior Management Accountant
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Senior Finance Lead (ICB Finance Team) Fixed Term Contract – Open only to current employees of Kent and Medway ICB, Southeast ICBs, and at-risk NHS Trust employees in Kent & Medway
About the Role
You will play a strategic role across the Finance Business Partner and Finance Team within the Kent and Medway Integrated Care Board (ICB), providing expert financial leadership to drive programme delivery and decision-making.
This position is open exclusively to:
- Current employees of Kent and Medway ICB or Southeast Integrated Care Boards
- Current at-risk employees within Kent and Medway NHS Trusts
Key Responsibilites
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Financial Programme Support
- Lead planning and execution of finance-related programmes, ensuring effective management and timely delivery.
- Coordinate monthly and external financial reporting (including year-end accounts, quarterly management accounts, and external compliance obligations).
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Strategic Financial Planning
- Assist in developing short/medium-term financial plans, including efficiency programme models, cost analyses, and investment profiling.
- Pbrush-board with spend forecasts, advising on opportunities and strategic shifts.
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Budget leadership
- Lead annual budgeting—aligning baselines with cost pressures, investments, and efficiency savings (e.g., CIP profiling).
- Provide actionable monthly management accounts, forecasts, and analytical reports for senior leaders.
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Variance Analysis and Market Risk Management
- Monitor income/activity/expenditure trends, challenge variances, and collaborate with budget holders to drive recovery actions.
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Financial Accuracy & Reporting
- Review and improve costing methodologies, apportionment, and allocation processes for better transparency.
- Ensure finance outputs connect with workforce/data/performance outcomes to inform decision-making.
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Statutory & Governance Support
- Deliver specialist financial advice for NHSE submissions, audits, and external reports.
- Develop efficient financial procedures and digitalisation solutions, championing operational improvements.
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Programme Financial Modelling
- Produce modelling for efficiency programmes, service redesign, and business cases to underpin strategy.
- Leadership & Training
- Line management of Management Accountants, overseeing quality, career growth, and internal coaching.
- Deliver training and coaching to senior budget holders on financial governance systems, frameworks and best practices.
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Why Work Here?
Our organisational values are built on collaboration, accountability, and service to our population.
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Hybrid & On-Site Culture
- At least two working days on-site with face-to-face one-to-ones to encourage stronger problem-solving, peer learning and leadership visibility.
- Regular visits to commissioned services ensure we’re grounded in our community.
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Flexible Working
- Agile and supportive culture with tailored discussions on flexible arrangements.
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Development & Support
- Clear objectives, appraisals, and access to network training to support professional growth.
Commitment to Diversity Northeast & Kent Consortium denies “commissioning decisions that leave a trail of inequality in our communities. We positively endorse applications from all backgrounds, including gender, race, faith, disability, age and sexual orientation.
Informal Enquiries: Name: Lorraine Harris Job Title: HR Business Partner Email: l.harris30@nhs.net
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